Loading...
HomeMy WebLinkAbout05-25-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT FRY C R 112 HIllTOP DRIVE MT HOllY SPRINGS, PA 17065 __noon lold ESTATE INFORMATION: SSN: 200-32-2830 FILE NUMBER: 2106-0454 DECEDENT NAME: FRY HAZEL K DA TE OF PAYMENT: OS/25/2006 POSTMARK DATE: OS/24/2006 COUNTY: CUMBERLAND DATE OF DEATH: 08/12/2005 NO. CD 006735 ACN ASSESSMENT CONTROL NUMBER AMOUNT 05149240 I $5.08 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK#165 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $5.08 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 171Z8-0601 ~n ~;j INFORMATION NOTICE ---'r.r.;. ,",'- AND H-h)14XPAYER RESPONSE l~r,r\,.;!-t.' ""r-' J REV-IS." ~_~~~D!-O", -', FILE NO. 21 Olo Lt6'""L/ ACN 05149240 DATE 10-26-2005 I-',r'~ <.)i'.1 ('I' \..J, Pi:1 I: I EST. OF HAZEL K FRY S.S. NO. 200-32-2830 DATE OF DEATH 08-12-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS o CHECKING !Xl TRUST o CERTIF. L"Unnr '1 ~ v ....r ,Hi Ilh I '- J Ci C R FRY ~ e8t1PA&S P9ItIT[XItIG ALPWAR'TTr ~~ i~~n~ , '''L F.( IU. TD P PIZ.,V f: MT. [.(~ 'SPR,Nt-s J PA 17OCD5" REHIT PAVHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 CLEARFIELD BANK & TRUST CO has provided the Departllent with the inforllation listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this inforllation is incorrect, please obtain written correction frail the financial institution, attach a copy to this forll and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the COllmonwealth of Pennsylvania. Questions may be answered by calling (717) 787-83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 12122602 Date 10-10-1997 Established Account Balance Percent Taxable AIIount Subject to Tax Rate Potential Tax Due x 41892.63 33.333 11630.86 .15 244.63 TAXPAYER RESPONSE To insure proper credit to your account, two (Z) copies of this notice IIUst accollpany your payment to the Register of Wills. Make check payable to: "Register of WillS, Agent". x NOTE: If tax paYllents are lIade within three (3) lIonths of the decedent's date of death, yOU lIay deduct a SZ discount of the tax due. Any inheritance tax due will becolle delinquent nine (9) 1I0nths after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. [] The above information and tax due is correct. 1. You lIay choose to remit paYllent to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you .ay check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Departllent of Revenue. E:J The above asset has been or will be reported and tax paid with the PennSYlvania Inheritance Tax return to be filed by the decedent's representative. [] The above information is incorrect and/or debts and deductions were paid by you. You lIuSt cOllplete PART ~ and/or PART ~ below. x PART [!] TAX RETURN - COMPUTATION If you indicate a different::~te~ease state your relationship to decedent: 0 \ LINE i. Date Established 2. Account Balance 3. Percent Taxable 4. A.ount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS In. LO _ .Qq,7 4J A'l2.. ~3 ,,~& i~~O~Rta IJo5"18.osq ~ 'fil 2 3 4 5 6 7 8 x 1 PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED '4,564.. 2.5/3 .::: ,) 5"18 ,DB DESCRIPTION AMOUNT PAID 5 of Tax Comput.tion) perjury 1 I declare th.t the facts I my knowledge and belief. have reported abo~,~e trlll correct HOME (7t1 > ~ - P; J { WORK (7/7 >q3e - ~~ TELEP ONE NUMBER and 5. Z'2..~ DATE GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT with applicable interest based on information submitted by the financial institution. Z. Inheritance tax becomes delinquent nine months after the decedent's date of death. 3. A joint account is taxable even though the decedent's name was added as a matter of convenience. 4. Accounts (inclUding those held between husband and wife) which the decedent put in joint names within one year prior to death are fully taxable as transfers. 5. Accounts established jointly between husband and wife more than one year prior to death are not taxable. 6. Accounts held by a decedent "in trust forn another or others are taxable fully. REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. BLOCK A - If the information and computation in the notice are correct and deductions are not being claimed, place an nx" in block "An of Part 1 of the "Taxpayer Response" section. Sign two copies and submit them with your check for the amount of tax to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of the return from the Register of Wills. Z. BLOCK B - If the asset specified on this notice has been or will be reported and tax paid with the Pennsylvania Inheritance Tax Return filed by the decedent's representative, place an "X" in block nB" of Part 1 of the "Taxpayer Response" section. Sign one COpy and return to the PA Department of Revenue, Bureau of Individual Taxes, Dept Z80601, Harrisburg, PA 171Z8-0601 in the envelope provided. 3. BLOCK C - If the notice information is incorrect andlor deductions are being claimed, check block PC" and complete Parts Z and 3 according to the instructions below. Sign two copies and submit them with your check for the amount of tax payable to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of the return from the Register of Wills. TAX RETURN - PART 2 - TAX COMPUTATION LINE 1. Enter the date the account origInally was established or titled in the manner existing at date of death. NOTE: For a decedent dying after 12/1Z/8Z: Accounts which the decedent put in joint names within one (1) year of death are taxable fully as transfers. However, there is an exclusion not to exceed $3,000 per transferee regardless of the value of the account or the number of accounts held. If a double asterisk (MM) appears before your first name in the address portion of this notice, the $3,000 exclusion already has been deducted from the account balance as reported by the financial institution. Z. Enter the total balance of the account inclUding interest accrued to the date of death. 3. The percent of the account that is taxable for each survivor is determined as follows: A. The percent taxable for joint assets established more than one year prior to the decedent's death: 1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF X 100 PERCENT TAXABLE JOINT OWNERS SURVIVING JOINT OWNERS Example: A joint asset registered in the name of the decedent and two other persons. 1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) = .167 X 100 16.7Z (TAXABLE FOR EACH SURVIVOR) B. The percent taxable for assets created within one year of the decedent's death or accounts owned by the decedent but held in trust for another individual(s) (trust beneficiaries): 1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT OWNERS OR TRUST BENEFICIARIES X 100 PERCENT TAXABLE Example: Joint account registered in the name of the decedent and two other persons and established within one year of death by the decedent. 1 DIVIDED BY Z (SURVIVORS) = .50 X 100 50Z (TAXABLE FOR EACH SURVIVOR) 4. The amount subject to tax (line 4) is determined by multiplying the account balance (line Z) by the percent taxable (line 3). 5. Enter the total of the debts and deductions listed in Part 3. 6. The amount taxable (line 6) is determined by subtracting the debts and deductions (line 5) from the amount subject to tax (line 4). 7. Enter the appropriate tax rate (line 7) as determined below. Date of Death Spouse Lineal Sibling Collateral 07/01/94 to 12/31/94 3X 6X 15X 15X 01/01/95 to 06/30/00 OX 6X 15X 15X 07/01/00 to present OX 4.5X- " 12% 15% MThe tax rate I~sed on the net value of transfers from a deceased ChIld twenty-one years Of' age or Y ounger at death to or for the use of a natural parent, an adoptive parent, or 8 stepparent of the child is OZ. The lineal class of heirs includes grandparents, parents, children, and lineal descendents. "Children" includes natural children whether or not they have been adopted by others, adopted children and step children. "Lineal descendents" includes all children of the natural parents and their descendents, whether or not they have been adopted by others, adopted descendents and their descendants and step-descendants. "Siblings" are defined as individuals who have at least one parent in common with the decedent, whether by blood or adoption. The "Collateral" class of heirs includes all other beneficiaries. CLAIMED DEDUCTlONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED Allowable debts and deductions are deterMined as follows: A. You legally are responsible for pay.ent, or the estate subject to ad.inistration by a personal representative is insufficient to pay. the deductible items. . B. You actually paid the debts after death of the decedent and can furnIsh proof of payment.' C. Debts being clai.ed .ust be itemized full~ in Part 3. If,additional space is needed, use plain paper 8 Ill" x 11". Proof of pay.ent .ay be requested by the PA Department of ~evenue. ~ ;",-,~-,"-------....",- "" ." , ~, ... .'. "":.,!-m j ",~:! ::r , .' t'2!~. ~;. ( N ~~:I, : ~." ,\I, : l~/ :I. . ~'. . :'.~ ," . " -,,/', ..;" ",1 .,"<," ' , ~. !11 t f .. f; \~ ,,,( ~ ' t, ~ ~, , "'X, I. , T. 1 , ' . , . '",' #.' . j . . , , ..'.........!I....',)~ ,..,:~. :~ ;4- -.' /1 :, ff~i, I '. \"'\~ .;a..tl";,':' \ : {~'tiY . ~..'....;I".' ...,.......~.i,.:.~:..' ~:==kI"~ '.~ '", . ,"il .' ".-'..'7.......\'" .,., '.... , ~,. ..,:." ~ Q' =2: ...... ~....' ..... ....... ,.~"J;;.~- ,,~;1l"~~-:;~.::!;O;oj~<I!,;~'" ~ k~ ~1~ ... :l8<t' d. Q.. o .,- ~. .....~. fi ,~: tiJ~ '1d . U ~ ;., 'v~r() 18\\08 S,\\\1'\1d'JO :\0 YH3l) \\:\ Wcl S2 ^~~t 9UOl " 8"1 WJ\ ':\0 tjjlS\8JB :lO 3QB:lO 03GB0811 ,,"~~""'.,. ~"..~ "'_._..__....e.._.. ~I ',_ I I I - ...: - ... ... ... ... - ...:: :: - ....: == - :: :: - - ... - .... - .. ... :: .....' ..: - - - ~ :: ... - - :.: .. . ... ~ .- ... ... .,:: Tf .... ~ f~' '... f,:i .,.., o ...... .... ".",."......--"-,~..."."....